Question 1

The treatment goals when treating urinary tract infection (UTI)include:&#10;A) Eradication of infecting organism&#10;B) Relief of symptoms&#10;C) Prevention of recurrence of UTI&#10;D) All of the above

Accepted Answer

All of the listed treatment goals are important when treating UTIs. Eradicating the infecting organism is necessary to resolve the infection, relieving symptoms is important to improve patient comfort and quality of life, and preventing recurrence is important to prevent future episodes of UTI.

Question 2

Jamie is a 24-year-old female with a urinary tract infection.She is healthy,afebrile,and her only drug allergy is sulfa,which gives her a rash.An appropriate first-line antibiotic choice for her would be:

A) Azithromycin
B) Trimethoprim/sulfamethoxazole
C) Ceftriaxone
D) Ciprofloxacin

Ciprofloxacin

Accepted Answer

Ciprofloxacin is a first-line treatment for uncomplicated urinary tract infections (UTIs) in adults who do not have any contraindications to its use. Trimethoprim/sulfamethoxazole would normally be considered, but it is contraindicated due to Jamie's sulfa allergy. Azithromycin is not typically used for UTIs, and while ceftriaxone could be used in certain situations, it is not the first-line oral therapy for uncomplicated UTIs.

Question 3

Along with an antibiotic prescription,lifestyle education for a non-pregnant adult female who has had a urinary tract infection includes:&#10;A) Increasing her intake of Vitamin C containing orange juice&#10;B) Voiding 10 to 15 minutes after intercourse&#10;C) Avoiding ingesting urinary irritants,such as asparagus&#10;D) All of the above

Accepted Answer

Voiding shortly after intercourse can help flush out bacteria that may have entered the urinary tract, reducing the risk of infection.

Question 4

Sally is a 16-year-old female with a urinary tract infection.She is healthy,afebrile,with no use of antibiotics in the previous 6 months and no drug allergies.An appropriate first-line antibiotic choice for her would be:

A) Azithromycin
B) Trimethoprim/sulfamethoxazole
C) Ceftriaxone
D) Levofloxacin

Accepted Answer

Trimethoprim/sulfamethoxazole is a first-line antibiotic choice for uncomplicated urinary tract infections in adolescents with no recent use of antibiotics or allergies. Azithromycin and ceftriaxone are not appropriate choices for urinary tract infections, and levofloxacin is reserved for more severe infections or when other antibiotics are not effective.

Question 5

Monitoring for a healthy,non-pregnant adult patient being treated for a urinary tract infection is:&#10;A) Symptom resolution in 48 hours&#10;B) Follow-up urine culture at completion of therapy&#10;C) &#34;Test of cure&#34; urinary analysis at completion of therapy&#10;D) Follow-up urine culture 2 months after completion of therapy

Accepted Answer

For a healthy, nonpregnant adult patient being treated for a urinary tract infection (UTI), the primary monitoring focus is on the resolution of symptoms, typically expected within 48 hours of starting appropriate antibiotic therapy. Follow-up urine cultures or "test of cure" are generally not recommended unless there are complicating factors or the patient does not improve as expected.

Question 6

Nicole is a 4-year-old female with a febrile urinary tract infection.She is generally healthy and has no drug allergies.Appropriate initial therapy for her UTI would be:&#10;A) Azithromycin&#10;B) Trimethoprim/sulfamethoxazole&#10;C) Ceftriaxone&#10;D) Ciprofloxacin

Accepted Answer

Ceftriaxone is a third-generation cephalosporin antibiotic that is commonly used for treating febrile urinary tract infections in children. It is effective against a broad range of bacteria and is safe for use in pediatric patients.

Question 7

Monitoring for a pregnant woman who has had a urinary tract infection is:&#10;A) Symptom resolution in 48 hours&#10;B) Follow-up urine culture at completion of therapy&#10;C) &#34;Test of cure&#34; urinary analysis at completion of therapy&#10;D) Follow-up urine culture every 2 weeks until delivery

Accepted Answer

The answer of Monitoring for a pregnant woman who has...

Question 8

Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?&#10;A) Juanita,a 28-year-old pregnant woman&#10;B) Sally,a 16-year-old healthy adolescent&#10;C) Jamie,a 24-year-old female&#10;D) Suzie,a 26-year-old diabetic

Accepted Answer

The answer of Which of the following patients may be...

Question 9

Juanita is a 28-year-old pregnant woman at 38 weeks gestation who is diagnosed with a lower urinary tract infection.She is healthy with no drug allergies.Appropriate first-line therapy for her UTI would be:

A) Azithromycin
B) Trimethoprim/sulfamethoxazole
C) Amoxicillin
D) Ciprofloxacin

Accepted Answer

Amoxicillin is the first-line choice for treating lower urinary tract infections in pregnancy. It is a safe and effective drug with a low risk of adverse effects on both the mother and the fetus. Other options such as trimethoprim/sulfamethoxazole and ciprofloxacin may carry a higher risk of adverse effects and are generally avoided in pregnancy. Azithromycin is not a recommended first-line treatment for UTIs.

Question 10

Lisa is a healthy non-pregnant adult woman who recently had a UTI.She is asking about drinking cranberry juice to prevent a recurrence of the UTI.The correct answer to give her would be&#10;&#10;A) &#34;Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.&#34;&#10;B) &#34;100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.&#34;&#10;C) &#34;There is no evidence that cranberry juice helps prevent UTIs.&#34;&#10;D) &#34;Cranberry juice only works to prevent UTIs in children.&#34;

Accepted Answer

While there is no conclusive evidence that cranberry juice prevents UTIs, some studies have shown that 100% cranberry juice or cranberry extract may decrease the frequency of UTIs in some patients. However, cranberry juice cocktail (which is often heavily sweetened and may contain as little as 27% actual cranberry juice) is not effective for preventing UTIs.

Question 11

Monitoring for a child who has had a urinary tract infection is:&#10;A) Symptom resolution in 48 hours&#10;B) Follow-up urine culture at completion of therapy&#10;C) &#34;Test of cure&#34; urinary analysis at completion of therapy&#10;D) Follow-up urine culture 2 months after completion of therapy

Accepted Answer

The answer of Monitoring for a child who has had...

Deck 47: Urinary Tract Infections